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Organization
ST. RAPHAEL PHARMACY INC
Active
Organization
ST. RAPHAEL PHARMACY INC
Active
Other names
ST RAPHAEL CHEMISTS, ST RAPHAEL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MONTOYA (OWNER)
(718) 424-4538
Entity
Organization
Contact information
Practice address
35-04C JUNCTION BLVD, CORONA, NY 11368-5362
(718) 424-4538
(718) 424-4537
Mailing address
35-04C JUNCTION BLVD, CORONA, NY 11368-5362
(718) 424-4538
(718) 424-4537
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
12/20/2023
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